Managed care presents a complex environment for healthcare product and service commercialization. From modeling contracts and predicting healthcare trends, to negotiating with payors and government agencies, to managing the execution of contracts and rebates, your managed markets team must deliver insight on healthcare economics, corporate strategy, transaction processing and rebate accuracy. But as your managed markets team progresses from a service organization to a strategic value driver, a new and potentially challenging approach to information management is required.
We can help your team rise to the challenge. At Knowledgent, we understand that at the core of every information challenge in the managed markets space is a web of affiliations between healthcare practitioners, healthcare organizations, providers, payors and contracts. Knowledgent has refined the information enrichment, master data management and data integration methodologies required to pull together these complex and disconnected pieces of information to provide a comprehensive view across the managed care supply chain. Integrating this information allows your managed markets team to improve operations, detect duplicate transactions and increase automation of the contracting processes. Furthermore, these views of information drive novel insights and foresights in our managed care analytics platform. This platform provides the predictive modeling, forecasting and visualization tools needed to assist all steps in the managed care value chain.
Our services include:
- Managed Care Data Assessment and Improvement – Knowledgent can improve the quality of information assets in the managed care value chain to drive better operations, analytics, insight and foresight
- Managed Care Contracts Process Improvement and Automation Data stewardship challenges and organizational handoffs disrupt the flow of information and speed of resolution necessary to manage contracts, renewals and rebate processes; Knowledgent’s experience in information management, automation and deployment of affiliations data provides pinpoint solutions to these problems, while minimizing the disruption of capable, trusted solutions that are already in place
- Managed Care Analytics – From contract design through contract compliance and fraud detection, our virtualized, rules-based platform can be rapidly deployed over existing and novel data assets to provide real-time, predictive analytic power to the decisions and actions of the managed care team
- Regulatory Compliance and Reporting Automation – The complexity of compliance is magnified for companies with a global presence. Our regulatory compliance team can assess and identify risks and opportunities regarding the compliance of processes and decision structures; in concert with our process improvement and reporting and analytics infrastructure, we can enhance this assessment with tactical solutions that close gaps and mitigate risk through automation and standardization
- Performance Management and Advanced Analytics – Developing analytical dashboards and reports to provide operational and strategic insight into the development process
- Process Harmonization/Optimization – Analyzing information processes and technology to optimize workflows, standardize processes across business units or harmonize processes and technology across geographic boundaries
Moving your managed markets team from a service organization to a strategic value driver can only serve to benefit you in this new market environment. Why not let us help you navigate through transition so you can realize a return on your investment?